Westchase Physical Therapy & Medical Supply, LLC
Clinic/Center, Rehabilitation in Clearwater, FL. Organization (NPI-2).
NPI number1144530684
StatusActive
Last updated in NPPESOct 18, 2010
Details
- NPI
- 1144530684
- Entity type
- Organization (NPI-2)
- Legal business name
- Westchase Physical Therapy & Medical Supply, LLC
- Organization subpart
- No
- Enumeration date
- Oct 18, 2010
- Last updated
- Oct 18, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0400X | Clinic/Center, Rehabilitation | HCC5810 | FL | Yes |
Practice location
2380 Sunset Point RdClearwater, FL 33765-1430
Phone 727-216-6612 · Fax 727-216-6620
Mailing address
12625 Race Track RdTampa, FL 33626-1331
Phone 813-343-3960 · Fax 813-343-3965
Authorized official
Brian Patrick Creadon
President/Owner
8133433960
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